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07/28/2017 13:15 4808304888 ATWELL LLC PAGE 02/02 <br /> Ft' E� "E 00) EHD LOG NUMBER <br /> ATE!!!R"'E���cE p 2 ��,/ SAN TAL HEN COUNTY %IS7 1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton,CA 95205-623 ov.orglehd <br /> 0 ¢phone:(209)468.3420 Fax: (209)464-0136 Web:'r'``�+d-9J9 <br /> PERMITfSEMMtES PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESSlAGENCY: S Si0 <br /> APPLICANT: i <br /> a e'er CITYISTATE171P: fte�a / rI �_�s/f•yoe¢•rd"`t <br /> ADDRESS: D E" r JpHONE(2), d 7'L/� "/off for fiords to be available. A <br /> IL <br /> PHONE(1): q�Q' b' Q l b a from date of appficatton submittal records. <br /> Please alloru 10 business days an a t data and time to re`n"the requested <br /> Staff will contact you to arrangePPO"IteO <br /> ES $139 FEE(CASH OR CHEOK ONLY)-REQUEST PRCC DATE IN <br /> BUSINESS DAYS <br /> CHECK BOX YO EXPEDITER <br /> a s of flies from the list below by checking the appropriate <br /> SIGNATURE OF APPLICANT w Lt ss Indic"wd abov®. Address <br /> 1, Ist uD t0 t¢ <br /> addresses ness day, <br /> In the space below• Sel¢ct the�tyP�(;4 +138 0� <br /> box�(eSL At least Ong file typo MUST be selected- <br /> ranges w111 not be accePtsd•APP"Cations received ager 3:00 pm will b i as contact EHD at the bus(number noted above. <br /> ointment for review will be confirmed approximately ten (10) <br /> 2. For assistance In Identifying the nature and content of An records, P ointments <br /> 3- The EHD will notify the applicant if any EHD files exist. An app business days for review. App <br /> days after receipt of application. The tiles will be held for a maximum Of five <br /> should be scheduled accordingly. EHD staff at the expense of the applicant. <br /> ok <br /> Ilditi may require a 5139 deposit prior to review. CLUDING HOLIDAYS) <br /> 4 Any file not returned in the same condition as rebased will be reorganized Y <br /> Future file reviews by the same app MONDAY-FRIDAY B:OD AM-S:tIOPM(E7( <br /> WELL AND SEP11C PERMIT RECORDS A1�EAVAILABLE Description,.Electronic Information: ❑List❑ P to C I <br /> Specific Date RangeoFlydormaaiwR�sted' From <br /> ENVIRONMENTAL FILE ADDRESS EHD USE ONLY <br /> • HEALTH DEPARTMENT city <br /> FILES <br /> Street y Str®at Name <br /> unoEacsmurm rAxK(usT) 1 1 1 f„ <br /> Ck w uv 9RE(LCF) r 11/1�� G yyo r T!f W 0` �Ci.'. p batt <br /> )50TAR CLr msn(Np LOP) <br /> WAZARcoua WAs>E A, <br /> ©TIEAED DFJDlmo FAc°.m'r ' �J •" '^. pl4e CC.. 1 11 [] <br /> eo+eaRu•'^9 TM �.i A', <br /> .0 } l tS 7 e L <br /> Wst IMI RerovAL) x I 1 ` . L1 t10f T W� <br /> 9 J <br /> p MAvxooUa MATERLALa A rynny.�/1 rtP dl.a�+ <br /> S"LIRELEAn REeDOM°E x �� r /�1/\�v��. t �r: Fe/� /(//Yll I /"' <br /> os"W",J!,,a ivewmLE y HI /v'�t✓) Ma16�'M1N <br /> Q tuba me y c Ic �0^ <br /> 5 <br /> ElPaoLIs- G},a}tom Qc, /�c A <br /> o DAM // // � ❑NODRM <br /> ❑V.RDUtEAFMIG wSIEb <br /> $E>nr.DuM°ER TAucF/ ° 1 e G Aa ro re, � �+, C � <br /> YARD I CwE�AL TO&n I1 n✓` 'J Glenn <br /> r7 WnsELrA* TKATMLRr P AKl C�•p IC�, n , ,�v FFI'4f <br /> C' r- yr-- /' iM <br /> C]Houma AentEwER, r /ly +-V C-.L o� .}�( Qp,q' , f'�� K•J <br /> E]M,,LnjM5A ✓ 1\ V C61PA-U5T <br /> rl C,D RARcwf DM tQNNL ¢ r� <br /> 0 M6mrrL WASW FACT o a AJI <br /> ❑TAnorosoD*DVM— •] t of 6 <br /> '1 ❑samwAsm <br /> ❑w"s TmE ��y5 �vfo CQ\ ��• - C�: <br /> ❑OOM INT <br /> ❑ ❑Aa»urmwD <br /> oTM¢I![PLFASE¢eecAvl: k Iy � <br /> • ° ��35 A.jcora St_ �'��A • <br /> —SOKEe AREA•Edk2kl OM r-- <br /> ❑ Records provided by Staff-PPR Complete. sM Nome: <br /> Received Time=Jul. 28. =2011=11 . 00A-No. 1991 <br />